title: Long-term disease-free survival in a patient with cerebral recurrence from adenocarcinoma of the fallopian tube.
abstract: Cerebral recurrence from Müllerian cancer is a rare event and prognosis of patients with such a condition is poor. We report a case of cerebral recurrence from International Federation of Gynecology and Obstetrics classification stage IV tubal cancer presenting with inguinal lymphadenopathy. The patient achieved more than 7 years' disease-free survival after irradiation to the brain despite the inauspicious event. The present case had a rare clinical course in terms of primary site, primary symptom, failure site, and clinical outcome. Patients with brain metastasis from Müllerian cancer have a chance for long-term survival under specified circumstances, such as solitary metastasis, no extracranial metastasis, no recurrence preceding brain metastasis and small tumor size.
authors.affiliation: Division of Gynecologic Oncology, National Hospital Organization, Hokkaido Cancer Center, Sapporo, Japan.
authors.forename: Chisa
authors.initials: C
authors.lastname: Shimada
authors.forename: Yukiharu
authors.initials: Y
authors.lastname: Todo
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Minobe
authors.forename: Kazuhira
authors.initials: K
authors.lastname: Okamoto
authors.forename: Hidenori
authors.initials: H
authors.lastname: Kato
mesh_terms: D000230:Adenocarcinoma / Q000532:radiotherapy* / Q000556:secondary / Q000601:surgery / Q000628:therapy; D002551:Cerebral Ventricle Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D005185:Fallopian Tube Neoplasms / Q000601:surgery / Q000628:therapy; D005260:Female; D006801:Humans; D007264:Inguinal Canal; D008206:Lymphatic Diseases / Q000209:etiology; D008875:Middle Aged; D010296:Parietal Lobe; D016896:Treatment Outcome
keywords: brain metastasis; fallopian tube cancer; inguinal lymphadenopathy; long-term survival